Spatially Fractionated Radiation Treatment for Gynaecological Cancers

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18-70
SponsorTata Memorial Hospital

About this trial

This is a prospective study to evaluate in-field disease control, survival and late toxicity in patients with cervical cancer or pelvic recurrence treated with spatially fractionated RT.

The study will include patients with primary cervical cancer or pelvic recurrence not suitable for brachytherapy in view of anticipated or actual suboptimal target coverage due to aberrant anatomy or large residual disease at the time of brachytherapy.

Eligibility criteria

Qualifiers

Patients with cervical cancer post EBRT, with expected suboptimal brachytherapy dose coverage due to-

Aberrant uterine or pelvic anatomy leading to difficulty in localization of the cervical OS or negotiation of the uterine canal accurately by two independent clinicians in up to two procedures.

Large residual disease at the time of brachytherapy with anticipated suboptimal target coverage either determined in clinic based on pre-brachytherapy imaging or at dose planning (e.g. figure 2).

Very narrow vaginal canal not accommodating even the smallest intracavitary or vaginal cylinder applicators.

Disqualifiers

Any pre-existing fistula in bladder or rectum.

Pelvic prosthesis.

Refusal to provide consent.

Trial design

Treatments tested in this trial

  • Spatially fractionated radiation therapy

Treatment groups

20 Participants
are divided into 1 treatment group

Sponsors and collaborators